Richard W Brozovich in Clarkston - Clinical
Richard W Brozovich - NPI 1336269158
Richard W Brozovich is a Clinical in Clarkston, Michigan. Richard W Brozovich practices all healthcare services and medical treatments related to Clinical. The NPI Number for Richard W Brozovich is 1336269158. The last update date is 2007-07-08.
Richard W Brozovich's current location address is 7127 Perry Lake Rd, Clarkston, Michigan. You can contact this provider via phone number 2486257769. The mailing address for Richard W Brozovich is 7127 Perry Lake Rd, Clarkston, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard W Brozovich |
|---|---|
| Address | 7127 Perry Lake Rd, Clarkston, Michigan |
| Phone Number | 2486257769 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D |
NPI Number Detail
| NPI Number | 1336269158 |
|---|---|
| Provider Enumeration Date | 2007-03-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 7127 Perry Lake Rd |
|---|---|
| City | Clarkston |
| State | Michigan (MI) |
| Post Code | 483461655 |
| Phone Number | 2486257769 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 6301000673 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| OF34639 | MI | BLUE CROSS-BLUE SHIELD ID |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Richard W Brozovich by the Centers for Medicare & Medicaid Services?
The Richard W Brozovich has been issued the NPI (National Provider Identifier) 1336269158 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Richard W Brozovich is physically located?
The Richard W Brozovich is situated at the following address: 7127 Perry Lake Rd, Clarkston, MI 483461655.
What is Richard W Brozovich's specialized field of practice, and what is the corresponding taxonomy classification code?
The Richard W Brozovich's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1336269158 to Richard W Brozovich?
The Centers for Medicare & Medicaid Services originally issued the 1336269158 to Richard W Brozovich on 2007-03-29.
As of what date was the information regarding Richard W Brozovich, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Richard W Brozovich, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.